A comparison of segmented abdominopelvic fluid volumes with conventional CT signs of abdominal compartment syndrome in a trauma population
| Autor: | William C. Chiu, Thomas W.K. Battey, David Dreizin, Amelia M. Wnorowski, Anthony Iacco, Ghada Issa, Uttam K. Bodanapally |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal compartment syndrome Urology medicine.medical_treatment Population Abdominal Injuries Wounds Nonpenetrating Inferior vena cava 030218 nuclear medicine & medical imaging Cohort Studies 03 medical and health sciences 0302 clinical medicine Laparotomy Edema Internal medicine Humans Medicine Radiology Nuclear Medicine and imaging education Hydronephrosis Retrospective Studies education.field_of_study Radiological and Ultrasound Technology Abdominal Fluid business.industry Gastroenterology Middle Aged Hepatology Decompression Surgical medicine.disease Body Fluids medicine.vein 030220 oncology & carcinogenesis Female Radiology Intra-Abdominal Hypertension medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Abdominal Radiology. 44:2648-2655 |
| ISSN: | 2366-0058 2366-004X |
| DOI: | 10.1007/s00261-019-02000-8 |
| Popis: | To compare the utility of abdominopelvic fluid volume measurements with established computed tomography signs for refractory post-traumatic abdominal compartment syndrome. This retrospective observational cohort study included 64 consecutive adult trauma patients with preoperative CT and diagnosis of refractory abdominal compartment syndrome requiring decompressive laparotomy at a level I trauma referral center between 2004 and 2014. We hypothesized that abdominal fluid volume measurements would be more predictive of the need for early laparotomy than previously described conventional CT signs of refractory ACS. Abdominopelvic fluid volumes were determined quantitatively using semi-automated segmentation software. The following conventional imaging parameters were recorded: abdominal anteroposterior:transverse ratio (round belly sign); infrahepatic vena cava diameter; distal abdominal aortic diameter; largest single small bowel wall diameter; hydronephrosis, inguinal herniation; and mesenteric and body wall edema. For outcome analysis, patients were stratified into two groups: those who underwent early ( |
| Databáze: | OpenAIRE |
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